2636例医院感染调查分析

目的 了解医院感染情况,为预防与控制医院感染提供依据.方法 采用前瞻性和回顾性相结合的调查方法,对2010-2012年64431例住院患者进行医院感染调查分析.结果 3年共发生医院感染2636例,医院感染率为4.09％（2 636/64 431）;感染部位以上、下呼吸道感染为主;综合ICU、肾内科、神经内科、内分泌科为感染高发科室;革兰阴性菌仍是医院感染的主要细菌,占52.48％（689/1 313）.结论 加强医院感染管理和医务人员培训、规范消毒隔离、严格无菌操作、减少侵入性操作及合理应用抗菌药物是降低医院感染的有效措施.

The investigation and analysis of 2 636 cases of nosocomial infection

Objective To provide evidence for the prevention and control of nosocomial infection by knowing the infecting status of hospital. Methods The clinical data of 64 431 hospital patients from 2010 to 2012 were analyzed prospectively and retrospectively. Results A total of 2 636 patients of nosocomial infection were collected in 3 years, the infection rate was 4.09 % （2 636/64 431）. Upper and lower respiratory tract was the main infection site. ICU, urology, neurology, endocrinology were the main infection outbreak departments. Gram negative bacilli was still the chief bacterium, accounted for 52.48% （689/1 313 ）. Conclusion To strengthen the control of nosocomial infection and training of medical staff, strict insist on aseptic operation, reduce invasiveness operation,use antibacterial agent reasonable are the effective and preventative measures to decrease nosocomial infection.